Lorri M Petterson, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

200941831 Issued in OR

Practice address

863 NE Hidden Valley Dr Unit 1
Bend, OR 97701-6575

Phone

(541) 350-3945

NPI assigned

Feb 10, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1720310170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 NE HIDDEN VALLEY DR UNIT 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016575",
            "telephone_number": "541-350-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 NE HIDDEN VALLEY DR UNIT 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016575",
            "telephone_number": "541-350-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTERSON",
        "first_name": "LORRI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OR",
            "license": "200941831",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "200830291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol J Petherbridge, ND
• Nickolas Petragallo, CRM/PSS
• Jacqueline Petrovic
• Sheyanne L Petrovich, LCSW
• Kevin Richard Pett, PHD, DAOM
• Jade Alyxandra Pettit, RN
• Claire Petzinger, PA-C
• Pfeifer & Associates
• Sally L Pfeifer, CACD I
• Bradley Andrew Pfeiffer, D.C.

• Medical-Surgical Registered Nurse in Bend, OR
• Providers in Bend, OR by specialty
• Medical-Surgical Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.